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1265962047
TANYA MARIE LAFAVOR
EAU CLAIRE, WI
NPI
1265962047
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
TANYA MARIE LAFAVOR
3656 MALL DR
EAU CLAIRE, WI 54701-7634
Phone number: 715-552-1035
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Mailing Address
TANYA MARIE LAFAVOR
3656 MALL DR
EAU CLAIRE, WI 54701-7634
Phone number: 715-552-1035
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